NCG030228_2023 DMR_20230213

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCGO3 0228 Person Collecting Samples:Ken Helms
Facility Name:Preformed Line Products Laboratory Name:Pace Analytical
Facility County:Stanly Laboratory Cert. No.:37712/40
Discharge during this period:0 Yes E No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ✓®Yes ®No
If so,which Tier(I,II,or III)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW- ✓©Yes ®No
DMR Date Uploaded: 02/13/23
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall Outfall Outfall Outfall
Code
N/A Receiving Stream Class WS-IV
N/A Date Sample Collected MM/DD/YYYY 01/17/23
46529 24-Hour Rainfall in inches 0.14
C0530 TSS in mg/L(100 or 50*) 3.3
00400 pH in standard units(6.0-9.0FW, 6-6- l r")
6.8-8.5 SW)
Copper,total recoverable in mg/L
01119 (0.010 FW,0.0058 SW) 0.162
01051 Lead,total recoverable in mg/L <0.005
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126 0.369
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in <25
mg/L(120) _
00552 Non-Polar Oil&Grease in mg/L(15) <4.9
*Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HOW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L.All other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional): Manganese measured at 0.0078 mg/L
"I certify by my signature below,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information
submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false i o mation,inclu in th ossibility of fines and imprisonment for knowing violations."
V( i., 4-\-),--g_3
Signature of Permittee or Delegated Authorized Individual Date
kh [e-mail] 704-984-4818
Email Address Phone Number